Individual provider · Type 1 NPI
Kevin Dwayne Bagwell, LPC
Professional Counselor · Pasadena, CA
NPI number
1710010152
Active
Practice location
75 W Holly St Unit 3010
Pasadena, CA 91103-0309
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | 17520 (CA) |
| Mental Health Counselor | 101YM0800X | 6401009233 (MI) |
| Professional Counselor Primary | 101YP2500X | 17520 (CA) |
Professional Counselor: Definition to come...
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About NPI 1710010152
Kevin Dwayne Bagwell, LPC's National Provider Identifier is 1710010152, issued on Mar 14, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Pasadena, CA. The record was last updated on Aug 29, 2025.